MX5 WC Membership Form
Member ( @ R200-00 p.a.)
Spouse / Partner ( @ additional R100-00 p.a)
Photo of Applicant
Photo of Applicant Spouse / Partner
Photo of Car
Membership of other Motor Clubs:
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All details supplied in this Application are CONFIDENTIAL.
By submitting this form, I/we declare that I/we have read the Constitution of this Club, that I/we understand it and that I/we hold myself/ourselves bound by it.